Henry,
Here's a theory. Without a history of trauma, there is probably no change
in the status of the joint, if it was previously pain-free and fully
functional. Has your palpation shown any specific tenderness or spasm in
any of the muscles that cross the joint (not just anteriorly)? If so,
possibly the offending musculature can compress the ball into the socket and
produce a "crack" in the joint as it is moved. If you try a lower limb
distraction mobilization (and possibly other directions as indicated) and
some soft tissue release this can be assessed. Hope it helps.
Tom
-----Original Message-----
From: - for physiotherapists in education and practice
[mailto:[log in to unmask]]On Behalf Of Henry Tsao
Sent: Saturday, January 12, 2002 5:45 AM
To: [log in to unmask]
Subject: clicking in the groin?
Hi all,
This is a teaser for you. A patient of mine started Tae Kwon Do and must
have over stretched when doing a side kick. He stated that now when he pulls
his knee to his chest, he feels an ache in the groin region. When he returns
to standing, the pain is gone. Here is the catch... when he lowers his legs
and extends his knee, he feels a painful crack in the groin. I hypothesis
that this may be iliopsoas tightness, but does anybody have any other ideas
on what can cause this crack in the groin?? Could it be the actual hip joint
itself??
Thank you!
Henry***
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